Organization
SHELTON LAKES HEALTH CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HAMBLEY (CFO)
(860) 678-9755
Entity
Organization
Contact information
Practice address
5 LAKE RD, SHELTON, CT 06484-2967
(203) 924-2635
(203) 924-0034
Mailing address
5 LAKE RD, SHELTON, CT 06484-2967
(203) 924-2635
(203) 924-0034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2298-C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000010173
—
CT
Enumeration date
03/06/2007
Last updated
10/16/2014
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